中医综合护理措施联合常规医护措施治疗抑郁症伴睡眠障碍临床研究

Clinical Study on Chinese Medicine Comprehensive Nursing Measures Combined with Routine Medical Measures for Depression with Sleep Disorders

目的:观察中医综合护理措施联合常规医护措施治疗抑郁症伴睡眠障碍的效果。方法:将100例抑郁症伴睡眠障碍患者随机分为对照组和观察组各50例。2组均服用帕罗西汀片与右佐匹克隆片,给予睡眠卫生教育、睡眠心理指导和睡眠刺激控制指导等常规护理措施,观察组加予由情志护理、穴位按摩和耳穴压豆组成的中医综合护理措施。2组疗程均为6周。治疗前后评定匹兹堡睡眠质量指数(PSQI)评分、失眠严重程度指数(ISI)评分、汉密尔顿抑郁量表-17(HAMD-17)评分,出院时由患者自行评价护理满意度,并比较2组的疗效。结果:治疗后,观察组疗效优于对照组(P<0.05)。2组PSQI各因子评分、PSQI总分、ISI总分及HAMD-17评分均较治疗前降低(P<0.01),观察组以上各项评分均低于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规医护措施基础上加用中医综合护理措施干预抑郁症伴睡眠障碍患者,可有效改善失眠、减轻抑郁程度,并能提高患者对护理措施的满意度。

Objective:To observe the effect of Chinese medicine comprehensive nursing measures combined with routine medical measures on depression with sleep disorders.Methods:A total of 100 cases of patients with depression and sleep disorders were randomly divided into the control group and the observation group,50 cases in each group.Both groups were given oral administration of paroxetine tablets and dexzopiclone tablets and routine nursing measures including sleep hygiene education,psychological guidance and stimulus control guidance,and the observation group was additionally given Chinese medicine comprehensive nursing measures consisting of emotional nursing,point massage and auricular point pressing with beans based on the treatment of the control group.Both groups were treated for six weeks.Before and after treatment,the scores of Pittsburgh Sleep Quality Index(PSQI),Insomnia Severity Index(ISI)and Hamilton Depression Scale-17(HAMD-17)were evaluated;when discharged,the nursing satisfaction was evaluated by patients.The clinical effect in the two groups was compared.Results:After treatment,the curative effect in the observation group was better than that in the control group(P<0.05).Each factor score of PSQI,total scores of PSQI and ISI,and HAMD-17 scores in the two groups were all decreased when compared with those before treatment(P<0.01);all the above scores in the observation group were lower than those in the control group(P<0.01).Nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Based on routine medical measures,the additional application of Chinese medicine comprehensive nursing measures for depression with sleep disorders can effectively improve insomnia,reduce the degree of depression,and enhance patients’satisfaction with nursing measures.